AudiologyOnline Phone: 800-753-2160


Inventis - June 2023

How Do I Perform Pediatric Tests with Piano Plus VRA from Inventis?

Anna Scala

November 1, 2021

Share:

Question

How do I perform pediatric tests with Piano Plus VRA from Inventis?

Answer

Piano Plus VRA is one of the three models of the Inventis top-featured audiometer Piano. This audiometer can perform pure tone audiometry on the youngest patients through two most common approaches: Visual Reinforcement Audiometry (VRA) and Conditioned Play Audiometry (CPA). Figure 1. Depicts the pediatric audiometry test window.

Figure 1. Piano Plus VRA test screen.

This test performs pure tone audiometry and controls the reinforcements. The reinforcements can be of two types: toys in a darkened box and/or LCD displays showing pictures or animations.

Using the Toys as Reinforcement

In case you want to use the traditional interactive toys as reinforcement, they can be directly connected to the audiometer. The back panel of Piano Plus VRA features three additional outputs (stereo jack ¼”) for controlling up to three toys; the stereo jack cable (included with every toy) also brings a power supply to the toy. The toys are enclosed in a wooden box, with a darkened Plexiglas window; when the toy is activated, the internal LEDs turn on, so that the child can see the plush lighting up. The available toys are Peanuts the Dog and Jack the Donkey.

Figure 2. Piano Plus VRA toys as reinforcement: Peanuts the Dog and Jack the Donkey.

Using the Displays as Reinforcement

Figure 3. Piano Plus VRA Maestro software dedicated screen.

One of the key points of Piano Plus VRA is the ability to use images and animations on up to three LCD displays as reinforcement. The displays are controlled through a computer with multiple video outputs, on which you need to install Maestro software.

The possibility to perform the pure tone audiometry test on the youngest patients using LCD displays as reinforcement is available also in Cello, Inventis PC-based diagnostic audiometer.

The main features of Maestro software for the video-VRA are:

  • Real-time audiogram on the display (“Monitor” function)
  • Selection of the images/animations to be used on the displays and control of the delivery
  • Control of the baby’s feedbacks through a webcam

The displays can be used in connection or in substitution of the traditional toys. Like with the toys, you can configure the system with one, two, or three LCD displays dedicated to the reinforcement (plus one display for the operator).

System Configuration

Figure 4 depicts a typical configuration for a complete VRA system.

Figure 4. Piano Plus VRA configuration for a complete VRA system.

Please watch this video for more information: Inventis Piano • Introduction

To learn more about Inventis please visit their Corporate Partner page on AudiologyOnline or inventis.it


anna scala

Anna Scala

Education Manager, Inventis

Anna received her specialization in Biomedical Engineering from Padua University. She has worked as technical-data processing consultant, healthcare sector, for several years. At Inventis, she follows the customer care activities and, as Education Manager, she is in charge of the company’s educational programs as well as of the scientific divulgation events for clinicians and audiologists.


Related Courses

Minimum Stimulus Strategy in the Diagnosis of BPPV
Presented by Andrea Castellucci, MD
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenter

Andrea Castellucci, MD
Course: #39433Level: Intermediate2 Hours
  'This course is intermediate to advanced level and requires foundational knowledge in vestibular diagnostics'   Read Reviews
Benign Paroxysmal Positional Vertigo (BPPV) is the most common inner ear disorder, with a cumulative lifetime incidence of 10%. This course will cover the Minimum Stimulus Strategy (MSS), a nystagmus-based approach to streamline BPPV management, reducing the need for diagnostic and therapeutic maneuvers and minimizing patient discomfort.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Navigating Vertigo: Insights from Dubai
Presented by Vishal Pawar, MD
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenter

Vishal Pawar, MD
Course: #39232Level: Intermediate1 Hour
  'Great to compare treatment protocols with different clinics'   Read Reviews
Early and accurate diagnosis is essential for providing appropriate treatment and improving patients' quality of life. Treatment approaches can range from canalith repositioning maneuvers for BPPV to lifestyle modifications and medication for conditions like Meniere's disease. This course will discuss the incidence, diagnostic approaches, spectrum of disorders, and typical symptoms clinicians must understand to provide effective care and support to individuals with vestibular disorders, ultimately enhancing their wellbeing.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Seminar in Applied Probe Microphone Measurements
Presented by Jay Jindal, AuD, Nicole DaRocha
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenters

Jay Jindal, AuDNicole DaRocha
Course: #38492Level: Intermediate2.5 Hours
  'The shared input from both instructors'   Read Reviews
This seminar will cover the scientific principles behind probe microphone measurements as applied in hearing clinics. We will briefly discuss the theory and go through how the PMM are performed in the clinic. The course is designed for audiologists seeing adult patients for hearing device prescription. Basic knowledge of PMM will be helpful.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Selective Canal Impairment on Video-HIT in Peripheral Vestibular Diseases
Presented by Andrea Castellucci, MD
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenter

Andrea Castellucci, MD
Course: #38493Level: Advanced2 Hours
  'One of the best courses I have taken'   Read Reviews
The introduction of modern tools assessing otolith and ampullary reflexes in the high-frequency domain (VEMPs and video-HIT, respectively) has enabled a fast functional analysis of all inner ear receptors, offering new interpretations for end-organs and afferents abnormalities detected in patients with cochleo-vestibular pathologies. The literature review highlights how vestibular disorders could result in specific lesion patterns, including selective dysfunctions involving a single receptor. A series of patients with isolated impairment of a semicircular canal at the video-HIT will be presented and discussed. Each selective canal dysfunction will be correlated to the remaining clinical-instrumental data and related inner ear pathology. The underlying hypothetical pathomechanism accounting for each single scenario will be provided, with the help of pertinent bibliographic support.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Vestibular and Balance Assessment in Children with Sensorineural Hearing Loss: An Overview
Presented by Nor Haniza Abdul Wahat, PhD
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenter

Nor Haniza Abdul Wahat, PhD
Course: #36958Level: Intermediate1 Hour
  'As a primarily adult-oriented vestibular lab, this has been helpful to encourage me when to attempt testing and when to direct the parents of infants and very young children to more capable hands'   Read Reviews
Over the past five years, we have seen a growing interest in studying vestibular disorders in children. The most commonly noteworthy are vestibular disorders in congenital sensorineural hearing loss (SNHL) and cochlear implants. Identifying and diagnosing vestibular and balance dysfunction in children is essential for their overall well-being. However, the diagnosis process is very demanding.This talk will provide an overview of vestibular and balance assessments in children with SNHL.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.